Weekly health and health marketing news September 3rd, 2010

U.S. employers push increase in cost of healthcare onto workers

A new survey shows an average worker with a family plan pays nearly $4,000 a year, up 14% from 2009. Meanwhile, the average employer contribution to a family plan hasn’t increased at all.  The average worker with a family plan was hit with 14% premium increase this year, pushing the bill to nearly $4,000 a year, according to a survey by the nonprofit Henry J. Kaiser Family Foundation and the Health Research and Educational Trust.

That is the largest annual increase since the survey began in 1999 and a marked change from previous years, when employers generally split the rise in the cost of premiums with their employees. The average employer contribution to a family plan did not go up at all this year, meaning the entire increase was borne by workers. At the same time, nearly a third of employers reported that they either reduced the scope of benefits they are offering this year or increased the amount that workers must pay out of pocket for their medical care.

Workers saw average copays for routine office visits increase 10% and deductibles continue their surge upward. In 2010, more than a quarter of American workers with employer-provided health coverage were in plans with deductibles of at least $1,000

Source: LA Times

Prescription Drug Use Rose to Include Half of Americans in 2008

Almost half of Americans took at least one prescription drug per month in 2008, an increase of 10 percent over the past decade, a U.S. study found.  One of every five children ages 11 or younger took at least one medication each month in 2008, led by asthma and allergy treatments, according to the survey released today by the U.S. Centers for Disease Control and Prevention. Among those ages 60 or older, 37 percent used five or more prescriptions per month.  U.S. spending for prescription drugs more than doubled to $234.1 billion over the 10 years covered by the report.

Source: Bloomberg Business Week

Allegan pays $600 million fine for illegal marketing of Botox

The government’s civil complaint said that Allergan had “illegally, vigorously and, without any thought to the possible negative health effects to which it subjected patients, promoted” Botox for uses that had not been deemed safe and effective by the F.D.A.

The company developed and put in place a wide-ranging marketing program, according to the complaint, that included paying kickbacks to doctors to induce them to prescribe Botox for conditions — like pain and severe spasms in the limbs of children with cerebral palsy — not included in the drug’s label.

Federal prosecutors also accused the company of teaching doctors how to get reimbursement from Medicare and Medicaid for off-label uses by putting in the codes for an approved treatment.

Source: NY Times

Meridia increases heart risks

Final data from the so-called SCOUT study, published on Wednesday, showed Meridia increases the risk of heart attacks and strokes in patients who already have heart disease. Patients taking the drug lost an average of 8.8 pounds (4 kg).

Patients given Meridia had a 16 percent increased risk of heart problems such as heart attack or stroke compared to those given a placebo, the study showed. There was no increased risk of death, although Meridia patients also saw an increase in blood pressure and heart rate, it said.

Source: Reuters

U.S. Food and Drug Administration rejected accelerated approval for a novel breast-cancer drug

Swiss-based Roche is developing trastuzumab-DM1, or T-DM1, in partnership with biotechnology company ImmunoGen Inc.  Roche said it will continue to work with the FDA on the drug, and expects to make a new submission by mid-2012.  ”We firmly believe in the potential of T-DM1 as a novel HER2 targeted option and remain fully committed to its ongoing development,” said Hal Barron, chief medical officer at Genentech, the Roche unit that is working on the treatment.

In HER2-positive breast cancer, increased quantities of the HER2 protein are present on the surface of the tumor cells. This form of cancer affects approximately 20% to 25% of women with the disease, which is the most common cancer among women world-wide, killing nearly 400,000 people each year.

Source: Wall Street Journal

Get erectile dysfunction ads out of prime time, nation’s pediatricians say

Parents, lawmakers and media executives are given plenty to think about in the American Academy of Pediatrics’ policy statement published Sunday. Kids today are bombarded with inappropriate sexual messages and images, the AAP committee said; everything from graphic sexual lyrics in songs to ubiquitous erectile dysfunction drug advertisements that air all hours of the day and night.

Source: LA Times

Novo Nordisk Creates “App” to Help Doctors Dose Insulin

Novo Nordisk announced today the availability of NovoDoseTM– the first-ever mobile insulin dosing guide for physicians to look up dosing guidelines and blood glucose goals for their patients with diabetes, a disease that affects nearly 24 million Americans. The guide is available as an application on iTunes and is specific to Novo Nordisk’s modern insulin analog portfolio.

This new technology is part of a trend of physicians using hand-held devices (i.e., PDAs or SmartPhones) when treating their patients. According to a survey conducted by Manhattan Research of nearly 2,000 physicians:

  • 70 percent believe their PDA/SmartPhone is “essential” to their practice, and
  • 81 percent want more apps related to their specialty.

Source: A Sweet Life

Cocktails Are Next For Cancer-Drug Makers

A diagnosis of AIDS was a death sentence until the advent of drug cocktails in the 1990s allowed patients to suppress the disease indefinitely. Now scientists say a similar combination strategy may change the course of cancer treatment.  For more than a decade, cancer researchers have been crafting drugs to disrupt the precise cellular processes that fuel cancer, creating a $51 billion market in 2009. So far, the survival benefits have been measured in months, not years. That’s because cancer, like the virus that causes AIDS, evolves rapidly to evade a single treatment. Rather than mixing and matching approved drugs, researchers are developing new, targeted combinations that work in tandem to block cancer.

“We’re looking to see a radical change in terms of stopping the disease in its tracks,” says Tal Zaks, head of global oncology drug development at Sanofi in Paris. “The return on investment here is not going to be just evolutionary; it has the potential to be revolutionary.”

Source: Business Week

FDA getting tough with certain drug trials

The U.S. Food and Drug Administration is cracking down on use of certain clinical trials that show a new drug is no worse than another already on the market, according to a government report released on Friday.

Such trials, known as non-inferiority trials, are used when drugmakers want to compare their experimental product to another one that is already FDA-approved. By showing that their new drug is no worse than another, it can also show some potential benefits such as fewer side effects.

Source: Reuters

FDA: Very concerned about Baxter continued violative promotion of their products

The FDA wants to know what Baxter is planning to do to ensure that they don’t continue to violate guidelines.

Source: FDA Website

About.com Health Study shows more people going online to manage their health

We are seeing a significant rise in people using online to take charge of their health and better educate themselves about conditions and treatment options; allowing them to make informed decisions and have knowledgeable discussions with their doctors.

The trend of no longer just relying on doctors and filling prescriptions right away is accelerating.
Right after diagnosis with a new condition, respondents took the following actions:

  • Used search engines to find more information about conditions (65% in 10 vs. 47% in 09)
  • Used search engines to learn about different treatment options (47% in 10 vs. 16% in 09)
  • Went to health websites to find more information about conditions (43% in 10 vs. 20% in 09)


Source: World of DTC Marketing

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Help Wanted: Pharma CEO who can provide leadership and focus on patients

Help Wanted: CEO for pharmaceutical company who can inspire employees and provide leadership in a time of turmoil.  Most be able to focus on patients and have a belief that focusing on customers leads to good business.

Fred Hassan of Schering-Plough, by far is a high-paid layoff leader. Last year he pocketed nearly $50 million when his firm merged with Merck and while 16,000 workers were receiving pink slips. Hassan’s 2009 pay could have covered the average cost of these workers’ jobless benefits for more than 10 weeks.

How do you think the rank and file at Merck feel about that ?  How do you think the 16,000 people who were laid off feel about that ?  Just because it’s OK to do it doesn’e mean it’s the right thing to do.

How do you think Allergan employees feel when they read that Allergan agreed on Wednesday to pay $600 million to settle charges that it illegally promoted and sold the drug through 2005 for unapproved uses like treating headaches ?

The company developed and put in place a wide-ranging marketing program, according to the complaint, that included paying kickbacks to doctors to induce them to prescribe Botox for conditions — like pain and severe spasms in the limbs of children with cerebral palsy — not included in the drug’s label.

Federal prosecutors also accused the company of teaching doctors how to get reimbursement from Medicare and Medicaid for off-label uses by putting in the codes for an approved treatment.

Based on this would you be proud to be an Allergan employee ?  What’s going on here and why does this continue to happen.  One word: sales.   The culture within certain pharma companies is that sales rule and do whatever we have to do to support sales.  It starts at the top with the CEO and trickles down.

When is a CEO going to come forward and say “patients always come first.  When we put patients first it leads to good business” ?   What is so troubling about the Allergan story is that the culture existed that allowed multiple employees to illegally sell Botox.  Where are the good people who should have raised their hand and were they silenced by people who are only concerned about the size of their bonuses ?

Of course not all CEO’s of drug companies are bad.  There are a lot of good ones who are leading the charge at companies like Amgen and Genentech Roche.  However, their good work is being overshadowed by the bad leadership of others within and industry that can’t afford too many more scandals.

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About.com 2010 Health Study

About.com surveyed 1,321 consumers to get a better understanding of how people use the web to manage their health and what kind of information they are seeking.   Here are some key findings from the study:

Key Insights & Trends (2010 vs. 2009)

We are seeing a significant rise in people using online to take charge of their health and better educate themselves about conditions and treatment options; allowing them to make informed decisions and have knowledgeable discussions with their doctors.

They rely on online information to…..• • • •

  • Feel better informed when talking with their doctor, making it a two way dialogue rather then a one way conversation (68%)
  • Research medications and therapies (62%)
  • Get lifestyle suggestions to improve overall health and wellness (53%)
  • Verify what doctors tell them (49%)

The trend of no longer just relying on doctors and filling prescriptions right away is accelerating. Right after diagnosis with a new condition, respondents took the following actions:

  • Used search engines to find more information about conditions (65% in 10 vs. 47% in 09)
  • Used search engines to learn about different treatment options (47% in 10 vs. 16% in 09)
  • Went to health websites to find more information about conditions (43% in 10 vs. 20% in 09)

People are using health ads as information resources significantly more than last year, to help educate themselves. Online ads…

  • Makes them aware of different treatment options (47% in 10 vs. 42% in 09)
  • Inform them about symptoms and conditions (46% in 10 vs. 42% in 09)
  • Makes it easier for them to speak knowledgably with their doctors (26% in 10 vs. 17% in 09)

People are also viewing health ads as helpful in coping with diseases and learning about medication side effects and safety. They are looking for pharmaceutical advertisers to provide them with information on:

  • Possible side effects and drug safety (58% in 10 vs. 28% in 09)
  • Ways to cope with a condition or disease (47% vs. 20%)
  • Drug effectiveness (55%)

People find printable health tips (40%), free trial offers (38% in 10 vs. 18% in 09), and brief user stories (29%), as helpful in health ads

There are some differences for ad receptivity by age

  • Younger adults 25-54 find user stories about people who experience the same symptoms more helpful compared to adults 55+ (32% vs. 27%)
  • Adults 55+ are more receptive to ads that have information about coping with diseases (58% vs. 51%) and medication side effects/safety (69% vs. 62%), compared to younger adults

Ads that incorporate humor (45%) and visually appealing ads with a lot of color & pictures (44%), would grab the most attention

  • Younger adults 25-54 are more receptive to ads with social elements and Interactive ads, while older adults 55+ are more receptive to video ads

Online health ads activate consumers. As a result of seeing a healthcare ad online…

  • 44% researched medication in more detail as a result of seeing a healthcare ad online (vs. 36% in 09)
  • 35% talked to their doctor after seeing an online healthcare ad

60% took action as a result of seeing a healthcare ad on About.com. The following actions were taken as a result of a health ad on About.com:

  • Researched the medication in more detail (70%)
  • Talked to my doctor (56%)
  • Spoke to friends/family about the medication (33%)
  • Visited pharmaceutical website (24%)

While Web MD is still considered the number one health portal 41% feel About.com is ‘Extremely Trustworthy’ for health information, more then most leading health sites:

  • WebMD (48%),
  • Everyday Health (8%),
  • MSN Health (8%),
  • Yahoo! Health (6%),
  • AOL Health (6%)

DTC marketers should ensure that health information is consistent among sites and this means that they need to think of every touch point on the Internet.   Consumers are going to go to multiple health sites to get information so consistency of information is vital to communicate brand messages.

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Posted in Health information online, Internet | Tagged | 2 Comments

iStethoscope turns iPhone into a stethoscope

An iPhone application has come to market that is rapidly gaining popularity with physicians – and providing marketers with another channel to reach medical professionals. The iStethoscope turns the iPhone into a, as the name suggests, stethoscope, allowing the doctor to listen to a heartbeat and see the heart waveform. The free app is ad-supported. There is also a professional version that is ad-free, called iStethoscope Pro.

Developed in collaboration with cardiologist researchers, the app is simple to use: thedoctor presses it to the patient’s chest while using good-quality headphones (heart sounds are too deep to hear using the ubiquitous white ones that come with Apple devices). After listening, the doctor can shake the iPhone to hear the last 8 seconds and see a phonocardiograph display and a spectrogram. The audio and the spectrogram image can then be e-mailed. There have been some 500 apps downloaded ever since the free version was introduced in mid-August, according to its inventor Peter Bentley.

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Posted in Mobile healthcare marketing & trends | Tagged | 2 Comments

Healthcare facts n’ figures

An overwhelming majority of respondents(physicians, 91%) reported believing that physicians order more diagnostic tests and procedures than are needed in order to protect themselves from malpractice suits.     SourcePhysicians’ Views on Defensive Medicine A National Survey.

Americans spend twice as much as residents of other developed countries on healthcare, but get lower quality, less efficiency and have the least equitable system.   Source: Reuters

Consumers want more help from their doctors in finding relevant health information on the web, but their doctors are often failing to deliver, according to new research by consumer engagement specialist Kyp and Opinion Research Corporation.  According to the study;

  • 76% of respondents search the internet for health information
  • only 22% use the web as their first port of call after they suspect a health problem – seemingly because of the confusing number of online sources.
  • Even in the 18-34 demographic, more than half (55%) report that “there is just too much choice” and that they “simply don’t know where to turn for the best advice.

Source: Medical Marketing & Media

The presence of one’s near and dear ones on an online social network doesn’t stop people from being wary of the network itself, according to the findings of a Vision Critical survey.  Respondents to the polling (fielded online in March) were asked how trustworthy they think online social networks are.

  • Few of the U.S. respondents said they regard such networks as “completely trustworthy” (5 percent) or “very trustworthy” (11 percent).
  • Thirty-five percent rated them “fairly trustworthy.”
  • Nearly half said they’re “not very” (32 percent) or “not at all” (17 percent) trustworthy.  Source: Adweek May 25th, 2010

About 57% of men have visited the doctor within the past year, compared with about 74% of women, according to surveys by the federal Agency for Healthcare Research and Quality (AHRQ). Black and Hispanic men are even less likely than white men to have routine checkups. At the same time, men are hospitalized at significantly higher rates than women for preventable conditions such as congestive heart failure and complications of diabetes and pneumonia that can be prevented with a vaccination. Source: Wall Street Journal

One-third to one-half of all patients do not take medication as prescribed, and up to one-quarter never fill prescriptions at all, experts say. Such lapses fuel more than $100 billion dollars in health costs annually because those patients often get sicker. Source: New York Times

Studies show that nearly 9 out of 10 adults may lack the skills needed to manage their health and prevent disease

Source: 2003 National Assessment of Adult Literacy Study.

The number of physicians who were “rep-accessible,” defined as meeting with at least 70% of salespeople who come calling, dropped by 18% from last year, according to sales and marketing consultants ZS Associates.  In a report out today, the firm says 58% of prescribing doctors now fall into that rep-friendly category, down from 71% in the previous survey. The proportion of physicians who see fewer than 30% of reps who visit now sits at 9%, up from 6% in the last survey. Source: Wall Street Journal

If Americans reduced their salt intake to the recommended maximum amount, hypertension cases could be cut by 11 million with a savings of $18 billion in healthcare costs and 312,000 years of life gained.   Source: LA Times.

Figures from the National Center for Health Statistics showed 34% of American adults age 20 and older were obese in 2007-08 while 68% were considered overweight or obese. In children ages 2 through 19, 17% were considered obese while 32% were considered overweight. Broadly, the figures are similar to rates seen in 1999-2000.

A University of Chicago study estimates that Americans with diabetes will increase from 24 million people to about 44 million people by 2034, with direct health care costs increasing from $116 billion a year to $336 billion a year. This is a tremendous cost to our economy and a painful reality for millions of Americans.  Source: Forbes.

A survey, released in November 2009, found 86% of U.S. physicians use the Internet to gather health, medical or prescription drug information.  That number echoes other surveys showing large numbers of physicians relying on the Internet for health information. A study earlier in 2009 by Manhattan Research put the number at 89%.  Of physicians who use the Internet for health information, 92% said they accessed it from their office, while 21% said they did so with a patient in the examination room. Meanwhile, 88% said they looked for health information online from home, while 59% reported doing so from a mobile device. Physicians who responded to the survey could give more than one answer about their Internet use. Source: American Medical News.

Nearly half of women seeking health answers online do so first, before talking to their doctors or family members, according to a Harris Interactive poll, conducted on behalf of iVillage, an online community for women.  The online survey of 2,608 adults, 1,342 of whom were women, found that anonymity and the ability to share common experiences with other members of an online community are what drives 49% of the women respondents to look online first. About half that, 25%, said they would go to a doctor first. Source: American Medical News


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Posted in Health information | Tagged | 1 Comment